This is the statement that the insurance sends to the patient that summarizes what the insurance paid and how much the the insurance owes.
What is an explanation of benefits (EOB)?
100
Health Plans, Providers and Clearinghouses
What are covered entities?
100
There are 206 of these.
How many bones are in the body?
100
The code set used to bill for procedures and office visits.
What is CPT?
200
Straight
What is orth/o
200
The federal agency that oversees the Medicare and Medicaid programs.
What is Centers for Medicare and Medicaid Services (CMS)?
200
Any individually identifiable information that could possibly identify a patient.
What is protected health information (PHI)?
200
The CDC advises at least 15-20 Seconds
How long does the CDC advise that you should wash your hands for?
200
The code set used to report diagnoses.
What is ICD-10?
300
absence of; without
What is a- or an-
300
This is the standard form used to bill the insurance for physician services?
What is the CMS-1500 form?
300
The HIPAA law that allows a doctor to send a patient's clinical information to a specialist without specific consent from the patient.
What is TPO (Treatment, Payment and Operations)
300
This component of the medical record identifies the patient's reason for seeking medical care.
What is What is the chief complaint?
300
The codes used to bill for medical equipment.
What is HCPCS?
400
-stomy
What is creation of an artificial opening?
400
This is the statement that the insurance sends to the provider that details all of the payments made by that insurance for multiple patient's.
What is the remittance advice (RA)?
400
These are the types of information in a record always require specific consent from the patient before disclosing.
What are mental health, STD and drug and alcohol treatment records?
400
These three factors can affect a patient's pulse rate
What are age, gender and fever?
400
The American Medical Association (AMA) publishes this code set.
What is CPT?
500
-asthenia
What is weakness?
500
The part of an insurance contract that states that a provider can not bill the patient for a claim that was not paid due to a mistake made by the provider
What is the hold harmless clause?
500
Any organization that has access to PHI based on their contractual agreement with a covered entity.
What is a business associate (BA)?
500
A measurement of 60-100 is normal for this vital sign.
What is a normal pulse rate?
500
The World Health Organization (WHO) publishes this code set.